Repair blood vessel w/graft lower extremity 35286 at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$4,955.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$7,624.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$766.48 with Freedom Health vs $20,890.61 with AVMED — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Freedom Health | Managed Medicaid | $766.48 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $789.47 | ↓ -84% |
| Miami Childrens Health Plan | Managed Medicaid | $804.80 | ↓ -84% |
| Molina | Managed Medicaid | $804.80 | ↓ -84% |
| Sunshine Health | Managed Medicaid | $804.80 | ↓ -84% |
| Molina | Florida Kidcare | $804.80 | ↓ -84% |
| Blue Cross | Health Options | $858.95 | ↓ -83% |
| Blue Cross | BlueSelect | $858.95 | ↓ -83% |
| Independent Living Systems | Managed Medicaid | $919.78 | ↓ -81% |
| Blue Cross | Network Blue | $1,035.79 | ↓ -79% |
| Avmed | Medicare Advantage | $1,056.80 | ↓ -79% |
| Miami Childrens Health Plan | Medicare Advantage | $1,056.80 | ↓ -79% |
| Blue Cross | Medicare Advantage HMO | $1,056.80 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $1,056.80 | ↓ -79% |
| United | Medicare Advantage | $1,056.80 | ↓ -79% |
| Blue Cross | Perferred Patient Care | $1,069.48 | ↓ -78% |
| Blue Cross | Traditional (PPS) | $1,069.48 | ↓ -78% |
| Freedom Health | Medicare Advantage | $1,109.64 | ↓ -78% |
| Careplus | Medicare Advantage | $1,109.64 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $1,138.41 | ↓ -77% |
| Clear Spring Health | All Products | $1,141.34 | ↓ -77% |
| Aetna | Medicare Advantage PCP | $1,310.43 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $1,331.57 | ↓ -73% |
| Avmed | Exchange | $1,437.89 | ↓ -71% |
| Avmed | Select | $1,493.19 | ↓ -70% |
| Multiplan | All Products | $1,585.20 | ↓ -68% |
| Avmed | Broad | $1,603.80 | ↓ -68% |
| United | All Products | $2,092.80 | ↓ -58% |
| Simply | Managed Medicaid | $2,481.51 | ↓ -50% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $2,481.51 | ↓ -50% |
| SUNSHINE HEALTH | Managed Medicaid | $2,481.51 | ↓ -50% |
| AMERIHEALTH | Managed Medicaid | $2,555.96 | ↓ -48% |
| MOLINA | Managed Medicaid | $2,605.59 | ↓ -47% |
| MOLINA | Florida KidCare | $2,605.59 | ↓ -47% |
| AETNA | Managed Medicaid/CHIP | $2,977.81 | ↓ -40% |
| The Legacy Companies | All Products | $4,955.60 | ↑ +0% |
| Clarity Health | All Products | $4,955.60 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $5,426.13 | ↑ +9% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $5,426.13 | ↑ +9% |
| BLUE CROSS | Medicare Advantage PPO | $5,426.13 | ↑ +9% |
| HUMANA | Medicare Advantage HMO | $5,426.13 | ↑ +9% |
| BLUE CROSS | Medicare Advantage HMO | $5,426.13 | ↑ +9% |
| AVMED | MEDICARE ADVANTAGE | $5,643.18 | ↑ +14% |
| Careplus | MEDICARE ADVANTAGE | $5,697.44 | ↑ +15% |
| Freedom Health | MEDICARE ADVANTAGE | $5,697.44 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $5,718.00 | ↑ +15% |
| AETNA | MEDICARE ADVANTAGE | $5,810.88 | ↑ +17% |
| Wellcare | MEDICARE ADVANTAGE | $5,810.88 | ↑ +17% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,391.96 | ↑ +29% |
| Aetna | All Products First Health | $6,861.60 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $7,624.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $7,624.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $7,624.00 | ↑ +54% |
| Cigna | All Products Physician | $7,624.00 | ↑ +54% |
| Cigna | Surefit Physician | $7,624.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $7,624.00 | ↑ +54% |
| AVMED | EXCHANGE | $9,495.73 | ↑ +92% |
| AVMED | Select | $16,007.09 | ↑ +223% |
| AVMED | BROAD | $20,890.61 | ↑ +322% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Repair blood vessel w/graft lower extremity 35286 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $2,640.17 – $2,695.76 |
| cleveland clinic florida weston hospital | Weston | $4,955.60 | $633.61 – $7,624.00 |
| Baptist Hospital | MIAMI | $20,522.45 | $173.17 – $14,208.30 |
| Bethesda Hospital East | BOYNTON BEACH | $20,522.45 | $2,570.65 – $14,208.30 |
| Doctors Hospital | CORAL GABLES | $20,522.45 | $2,491.97 – $14,208.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $20,522.45 | $2,491.97 – $14,208.30 |
| Homestead Hospital | HOMESTEAD | $20,522.45 | $167.89 – $14,208.30 |
| West Kendall Baptist Hospital | MIAMI | $20,522.45 | $2,491.97 – $14,208.30 |